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EditorialEditor's Choice

Challenges With Implementation of a Respiratory Therapist–Driven Protocol of Spontaneous Breathing Trials in the Pediatric ICU

Conrad Krawiec, Dale Carl, Christy Stetter, Lan Kong, Gary D Ceneviva and Neal J Thomas
Respiratory Care October 2017, 62 (10) 1233-1240; DOI: https://doi.org/10.4187/respcare.05477
Conrad Krawiec
Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State Hershey College of Medicine, Penn State Hershey Children's Hospital, Hershey, PA.
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  • For correspondence: [email protected]
Dale Carl
Penn State Health Respiratory Care and Pulmonary Diagnostics, Penn State Health Children's Hospital, Hershey, PA.
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Christy Stetter
Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
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Lan Kong
Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
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Gary D Ceneviva
Pediatric Critical Care Medicine, Department of Pediatrics, Penn State Milton S. Hershey Medical Center, Penn State Hershey College of Medicine, Penn State Hershey Children's Hospital, Hershey, PA.
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Neal J Thomas
Department of Public Health Sciences, Pennsylvania State University College of Medicine, Hershey, Pennsylvania.
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References

  1. 1.↵
    1. Blackwood B,
    2. Murray M,
    3. Chisakuta A,
    4. Cardwell CR,
    5. O'Halloran P
    . Protocolized versus non-protocolized weaning for reducing the duration of invasive mechanical ventilation in critically ill paediatric patients. Cochrane Database Syst Rev 2013;(7):CD009082.
  2. 2.
    1. Rivera R,
    2. Tibballs J
    . Complications of endotracheal intubation and mechanical ventilation in infants and children. Crit Care Med 1992;20(2):193–199.
    OpenUrlCrossRefPubMedWeb of Science
  3. 3.
    1. Grant MJ,
    2. Scoppettuolo LA,
    3. Wypij D,
    4. Curley MA
    ; RESTORE Investigative Team. Prospective evaluation of sedation-related adverse events in pediatric patients ventilated for acute respiratory failure. Crit Care Med 2012;40(4):1317–1323.
    OpenUrlCrossRefPubMed
  4. 4.
    1. Stambouly JJ,
    2. McLaughlin LL,
    3. Mandel FS,
    4. Boxer RA
    . Complications of care in a pediatric care unit: a prospective study. Intensive Care Med 1996;22(10):1098–1104.
    OpenUrlPubMedWeb of Science
  5. 5.↵
    1. Newth CJ,
    2. Venkatarman S,
    3. Wilson DF,
    4. Meert KL,
    5. Harrison R,
    6. Dean JM,
    7. et al
    . Weaning and extubation readiness in pediatric patients. Pediatric Crit Care Med 2009;10(1):1–11.
    OpenUrl
  6. 6.↵
    1. Ely EW,
    2. Maker EM,
    3. Dunagan DP,
    4. Burke HL,
    5. Smith AC,
    6. Kelly PT,
    7. et al
    . Effect on the duration of mechanical ventilation of identifying patients capable of breathing spontaneously. N Engl J Med 1996;335(25):1864–1869.
    OpenUrlCrossRefPubMedWeb of Science
  7. 7.↵
    1. Robertson TE,
    2. Mann HJ,
    3. Hyzy R,
    4. Rogers A,
    5. Douglas I,
    6. Waxman AB,
    7. Weinert C,
    8. et al
    . Multicenter implementation of a consensus-developed, evidence-based spontaneous breathing trial protocol. Crit Care Med 2008;36(10):2753–2762.
    OpenUrlCrossRefPubMedWeb of Science
  8. 8.↵
    1. Duke T,
    2. Kissoon N,
    3. Van Der Voort E
    . Pediatric Intensive Care: A Global Perspective. Rogers Textbook of Pediatric Intensive Care, 5th ed. Philadelphia, PA: Lippincott Wiliams and Wilkins. 2016;8.
  9. 9.↵
    1. Faustino EV,
    2. Gedeit R,
    3. Schwarz AJ,
    4. Asaro LA,
    5. Wypij D,
    6. Curley MA
    ; Randomized Evaluation of Sedation Titration for Respiratory Failure (RESTORE) Study Investigators: Accuracy of an extubation readiness test in predicting successful extubation in children with acute respiratory failure from lower respiratory tract disease. Crit Care Med 2017;45(1):94–102.
    OpenUrl
  10. 10.↵
    1. Foronda FK,
    2. Troster EJ,
    3. Farias JA,
    4. Barbas CS,
    5. Ferraro AA,
    6. Faria LS,
    7. et al
    . The impact of daily evaluation and spontaneous breathing test on the duration of pediatric mechanical ventilation: a randomized controlled trial. Crit Care Med 2011;39(11):2526–2533.
    OpenUrlPubMed
  11. 11.↵
    1. Randolph AG,
    2. Wypij D,
    3. Venkataraman ST,
    4. Hanson JH,
    5. Gedeit RG,
    6. Meert KL,
    7. et al
    . Effect of mechanical ventilator weaning protocols on respiratory outcomes in infants and children: a randomized controlled trial. JAMA 2002;288(20):2561–2568.
    OpenUrlCrossRefPubMedWeb of Science
  12. 12.↵
    1. Schultz TR,
    2. Lin RJ,
    3. Watzman HM,
    4. Durning SM,
    5. Hales R,
    6. Woodson A,
    7. et al
    . Weaning children from mechanical ventilation: a prospective randomized trial of protocol-directed versus physician-directed weaning. Respir Care 2001;46(8):772–782.
    OpenUrlPubMed
  13. 13.↵
    1. Popernack ML,
    2. Thomas NJ,
    3. Lucking SE
    . Decreasing unplanned extubations: utilization of the Penn State Children's Hospital sedation algorithm. Pediatr Crit Care Med 2004;5(1):58–62.
    OpenUrlCrossRefPubMed
  14. 14.↵
    1. Kollef MH,
    2. Shapiro SD,
    3. Silver P,
    4. St John RE,
    5. Prentice D,
    6. Sauer S,
    7. et al
    . A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med 1997;25(4):567–574.
    OpenUrlCrossRefPubMedWeb of Science
  15. 15.↵
    1. Farias JA,
    2. Alia I,
    3. Esteban A,
    4. Golubicki AN,
    5. Olazarri FA
    . Weaning from mechanical ventilation in pediatric intensive care patients. Intensive Care Med 1998;24(10):1070–1075.
    OpenUrlCrossRefPubMedWeb of Science
  16. 16.↵
    1. Bock KR,
    2. Silver P,
    3. Rom M,
    4. Sagy M
    . Reduction in tracheal lumen due to endotracheal intubation and its calculated clinical significance. Chest 2000;118(2):468–472.
    OpenUrlCrossRefPubMedWeb of Science
  17. 17.↵
    1. Gupta P,
    2. Kuperstock JE,
    3. Hashmi S,
    4. Arnolde V,
    5. Gossett JM,
    6. Prodhan P,
    7. et al
    . Efficacy and predictors of success of noninvasive ventilation for prevention of extubation failure in critically ill children with heart disease. Pediatr Cardiol 2013;34(4):964–977.
    OpenUrlPubMed
  18. 18.↵
    1. Nava S,
    2. Gregoretti C,
    3. Fanfulla F,
    4. Squadrone E,
    5. Grassi M,
    6. Carlucci A,
    7. et al
    . Noninvasive ventilation to prevent respiratory failure after extubation in high-risk patients. Crit Care Med 2005;33(11):2465–2470.
    OpenUrlCrossRefPubMedWeb of Science
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Respiratory Care: 62 (10)
Respiratory Care
Vol. 62, Issue 10
1 Oct 2017
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Challenges With Implementation of a Respiratory Therapist–Driven Protocol of Spontaneous Breathing Trials in the Pediatric ICU
Conrad Krawiec, Dale Carl, Christy Stetter, Lan Kong, Gary D Ceneviva, Neal J Thomas
Respiratory Care Oct 2017, 62 (10) 1233-1240; DOI: 10.4187/respcare.05477

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Challenges With Implementation of a Respiratory Therapist–Driven Protocol of Spontaneous Breathing Trials in the Pediatric ICU
Conrad Krawiec, Dale Carl, Christy Stetter, Lan Kong, Gary D Ceneviva, Neal J Thomas
Respiratory Care Oct 2017, 62 (10) 1233-1240; DOI: 10.4187/respcare.05477
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Keywords

  • ventilator weaning
  • respiratory therapy
  • quality improvement
  • clinical protocol
  • physician's role
  • pediatrics

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